Agenda - 09-17-2024; 6-b - Opioid Settlement Funding Discussion

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2 Based on this information, County staff have created a cash flow model that can predict how long existing programs could be supported by the Fund depending on allocations to other programing for outside agencies, the Crisis Diversion Facility operating subsidy, additional housing resources or other high impact opioid abatement strategies. A simplified table of the impacts is below. As an example, if the County adds $500,000 of new programming with Opioid Settlement Funds, then the County will need to begin subsidizing the programming in FY 2029: —or-cost of Exis nnual Additional ow- County Programs Programming County Subsidy Required $ 787,500 $ 0 FY 2035 $ 787,500 $ 100,000 FY 2034 787,500 $ 250,000 FY 2032 $ 787,500 $ 400,000 FY 2030 $ 787,500 $ 500,000 FY 2029 $ 787,500 $ 750,000 FY 2028 County staff will present these scenarios on the implications of different funding targets on the General Fund in future fiscal years. This funding plan would be reviewed annually during the budget process based on changes in the needs of the community, best practices, and the financial status of the County's General Fund. Based on this presentation, staff requests that the Board provide the broad funding priorities in adding new programs to the Opioid Settlement Funds. In addition, staff asks that the Board provide specific funding allocation for nonprofit agencies. That amount, either as an annual allocation or as an upfront amount, will be used by the Opioid Advisory Committee to issue a Request for Proposal from nonprofit agencies. FINANCIAL IMPACT: There is no immediate financial impact of this discussion. There will be implications on the General Fund in future years based on the decisions by the board. ALIGNMENT WITH STRATEGIC PLAN: This item supports: • GOAL 2: HEALTHY COMMUNITY OBJECTIVE 1. Improve harm reduction, prevention, and support services for adults and children experiencing behavioral health issues, substance use disorder, and intellectual or developmental disability. OBJECTIVE 2. Expand access to quality, affordable healthcare services. (e.g., Crisis Diversion facility, Medicaid expansion, crisis response, healthy living campaign). OBJECTIVE 3. Provide social safety net programming and the resources needed for our most vulnerable community members (e.g., veterans, unhoused people, foster children, older adults, etc.). OBJECTIVE 4. Reduce impacts and barriers for justice-involved children and adults through deflection, diversion, therapeutic interventions, and re-entry support, including housing. RECOMMENDATION(S): The Manager recommends that the Board receive the presentation on the cashflow of Opioid Settlement Funds, discuss different spending scenarios, and provide direction to staff and the Opioid Advisory Committee.